Which question posed by the nurse will most likely promote the sharing of sensitive information during a genetic counseling interview?
a. "What kind of defects or diseases seem to run in the family?"
b. "How many people in your family are mentally retarded or handicapped?"
c. "Did you know that you can always have an abortion if the fetus is abnormal?"
d. "Are there any members of your family who have learning or developmental problems?"
ANS: D
The nurse should probe gently using layperson-oriented terminology, such as learning problems rather than defects or diseases. Some individuals may not be aware of which diseases are genetically linked and may not answer the question accurately. "How many people in your family are mentally retarded or handicapped?" assumes that there are genetic problems that resulted in retardation in the family. Some individuals may find these terms offensive. "Did you know that you can always have an abortion if the fetus is abnormal?" is taking the decision away from the parents. They are seeking counseling to prevent problems, not to find out what to do if there is a problem.
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A) Liver disease B) Lyme's disease C) Disseminated intravascular coagulation (DIC) D) Pheochromocytoma
Kevin worked for 10 years at a uranium mine, excavating uranium for a nearby nuclear power plant. Now, 25 years later, he has small cell lung cancer
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The nurse is caring for a client who received an electrical shock. What is the most appropriate initial action for the nurse?
a. Immediately start CPR. b. Turn off or remove the electrical source. c. Assess the client's pulse and respiration. d. Notify the physician.
Which of the following is not a major barrier to research utilization in nursing?
A) The fact that many nurses are not academically prepared to critically evaluate nursing research studies B) The failure of hospitals and other organizations that employ nurses to reward nurses who engage in utilization efforts C) The low number of replication of nursing studies that show promise for utilization D) The absence of clinically relevant nursing studies